Individual
MRS. LISA JAN MERRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1240 HIGHWAY 54 W, BUILDING 700, SUITE 700, FAYETTEVILLE, GA 30214-4557
(404) 452-9931
Mailing address
1240 HIGHWAY 54 W, BUILDING 700, SUITE 700, FAYETTEVILLE, GA 30214-4557
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
RN097845
GA
Other
Enumeration date
02/13/2012
Last updated
02/12/2026
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